Effectiveness of Planned Preoperative Teaching on Self Care Activities for Patients Undergoing Cardiac Surgery | ||||
| Port Said Scientific Journal of Nursing | ||||
| Volume 12, Issue 1, March 2025, Page 269-304 PDF (747.02 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/pssjn.2025.363138.1349 | ||||
 View on SCiNiTO | ||||
| Author | ||||
eslam ahmed newesar 
| ||||
| portsaid faculty of nursing | ||||
| Abstract | ||||
| Background: Cardiovascular diseases are the primary cause of death worldwide, claiming approximately 17.9 million lives annually. Aim: the study aimed to explore the effectiveness of planned preoperative teaching about self-care activities for patients undergoing cardiac surgery. Sample: a purposive sample of 80 patients undergoing cardiac surgery. Research design: A quasi-experimental design with pre- and post-assessment was employed. Setting: The study was conducted in the adult cardiac surgical unit of El-Nasr Specialized Hospital, which is part of the Egypt Health Care Authority in Port Said. Data collection tools: Two data collection tools were used: Tool I, a questionnaire assessing patients' knowledge of self-care activities, and Tool II, an observation checklist for self-care practices. Results: revealed that 61.3% of the participants were male, and 48.8% were aged between 55 and 60 years. Initially, none of the patients demonstrated adequate knowledge of self-care activities before the intervention. However, they rose to 100% immediately after the intervention. Significant improvements were observed in the patients' self-care practices across the three study phases, with a p-value of 0.001. Conclusion: The study concluded there was a notable enhancement in both knowledge and practice of self-care activities among cardiac surgery patients. Additionally, statistically significant differences were found between the pre-and post-intervention phases, as well as the postoperative phase, concerning knowledge and practices related to self-care. Recommendations: Regular training sessions on preoperative education for cardiac surgery patients should be conducted using a variety of multimedia tools, such as television programs, videos, booklets, audio tapes, and brochures to reinforce health behaviors and improve patients' adherence to recommended self-care practices. 61.3% of the participants were male, and 48.8% were aged between 55 and 60 years. Initially, none of the patients demonstrated adequate knowledge of self-care activities before the intervention. However, rose to 100% immediately after the intervention. Significant improvements were observed in the patients' self-care practices across the three study phases, with a p-value of 0.001.. Conclusion: Study concluded there was a notable enhancement in both knowledge and practice of self-care activities among cardiac surgery patients. Additionally, statistically significant differences were found between the pre- and post-intervention phases, as well as the postoperative phase, concerning knowledge and practices related to self-care. Recommendations: Regular training sessions on preoperative education for cardiac surgery patients should be conducted using a variety of multimedia tools, such as television programs, videos, booklets, audio tapes, and brochures to reinforce health behaviors and improve patients' self-care practices. | ||||
| Keywords | ||||
| Cardiac Surgery; Preoperative Teaching; Self Care Activity | ||||
| References | ||||
|
Aktas, Y. Y., Uğur, H. G., & Orak, O. S. (2020). Discharge education intervention to reduce anxiety and depression in cardiac surgery patients: a randomized controlled study. Journal of PeriAnesthesia Nursing, 35(2), 185-192.
Al-Qalah, T., Shereif Salam, W., & Hassanein, A. A. (2015). Effectiveness of planned preoperative teaching on self-care activities for patients undergoing cardiac surgery. Int J Healthc Sci, 3(1), 210-227.
AMERICAN HEART ASSOCIATION (AHA).Available at https://www.heart.org/en/health-topics/heart-attack/treatment-of-a-heart-attack/cardiac-procedures-and-surgeries acess in date 2020 .
Anastasiadis, Kyriakos, & Tagarakis, Georgios I. (2020). 3D printing in cardiac surgery. In 3D Printing: Applications in Medicine and Surgery (pp. 117-123): Elsevier.
Assmann, A. K., Assmann, A., Waßenberg, S., Kojcici, B., Schaal, N. K., Lichtenberg, A., ... & Albert, A. (2023). The impact of socio-demographic factors on health-related quality of life after coronary artery bypass surgery. Interdisciplinary CardioVascular and Thoracic Surgery, 36(2), 14
Aziz, A. E., Shimaa, M., Risk, Y. E., El-Aziz, A., Mahbouba, S., & El-Deen, M. (2017). Home Self-Care Management Program for Patients with Open Heart Surgery in Kalyubia Governorate. Menoufia Nursing Journal, 2(2), 69-81.
Baghel, A. S., & Solomon, S. G. (2023a). A Quasi-experimental Study to Assess the Knowledge Regarding Planned Pre-operative Teaching on Post-operative Self-care Activities among Patients Undergoing Cardiac Surgery in Selected Hospital of a City. International Journal of Nursing and Medical Investigation, 60-66.
Baghel, A. S., & Solomon, S. G. (2023b). re-operative Teaching is Important on Post-operative Self-care Activities among Cardiac Surgery Patients: An Overview. Innovational: Journal of Nursing and Healthcare, 20-22.
Benjamin, E. J., Muntner, P., Alonso, A., Bittencourt, M. S., Callaway, C. W., Carson, A. P., ... & American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. (2019). Heart disease and stroke statistics—2019 update: a report from the American Heart Association. Circulation, 139(10), e56-e528.
Di Cesare, M., Perel, P., Taylor, S., Kabudula, C., Bixby, H., Gaziano, T. A., . . . Narula, J. (2024). The heart of the world. Global heart, 19(1).
Eldin, T. S. S., Wehaida, S. M., Basal, A. A., Elatafy, E. M., & Ibrahim, R. A. (2021). Effect of Implementing a Self-Management Educational Program on Clinical Outcomes of Patients Post Coronary Artery Bypass Graft Surgery. International Journal of Novel Research in Healthcare and Nursing, 8(2), 199-216.
Elgazzar, S. E., Qalawa, S. A. A., & Ali Hassan, A. M. (2023). Impact of educational programme on patient's health outcomes following open heart surgeries. Nursing Open, 10(5), 3028-3041.
El-ghiety, A. Y. A., Khalil, B. M., Hassan, A. M. A., & shaker Soliman, M. S. Effect of Instructional Guidelines on Knowledge, Practice, and Fatigue Level among Post Cardiac Surgery Patients.
Fereidouni, Z., Sarvestani, R. S., Hariri, G., Kuhpaye, S. A., Amirkhani, M., & Kalyani, M. N. (2019). Moving into action: The master key to patient education. Journal of Nursing Research, 27(1), 5-0
Fredericks, S., & Sidani, S. (2012). Socio-demographics and health profile: Influence on self-care. British Journal of Cardiac Nursing, 7(2), 77-82.
Fredericks, S., Lo, J., Ibrahim, S., & Leung, J. (2010). An examination of the difference in performance of self-care behaviours between white and non-white patients following CABG surgery: a secondary analysis. Canadian Journal of Cardiovascular Nursing, 20(4).
Kinas, S. B., & Bilgic, S. (2024). Impact of breathing exercises in patients who had open heart operation on respiratory function and exercise tolerance. The Australian Journal of Advanced Nursing, 41(1), 10-20.
Musa, M. I. Y., Algamar, E. A., Ismail, M. E. M., Elsanousi, O. M., Alhussein, A. S., Ahmed, Z. A., & Hassan, O. A. M. (2023). Effect of Health Education Program on Self-Efficacy and Functional Capacity of Patients with Coronary Artery Bypass Surgery in Khartoum State-Sudan, 2015-2019. World Journal of Cardiovascular Surgery, 13(12), 167-180.
Nourali, N., Hosseini, M., Ghasemi, S., & Nasiri, M. (2023). The effect of educational program based on the clinical practice protocol on treatment adherence, self-efficacy and quality of life of patients undergoing coronary artery bypass graft surgery. Journal of Education and Health Promotion, vol ???(1), 323.
Pahwa, S., Bernabei, A., Schaff, H., Stulak, J., Greason, K., Pochettino, A., ... & Crestanello, J. (2021). Impact of postoperative complications after cardiac surgery on long‐term survival. Journal of cardiac surgery, 36(6), 2045-2052.
Shahmoradi, L., Rezaei, N., Rezayi, S., Zolfaghari, M., & Manafi, B. (2022). Educational approaches for patients with heart surgery: a systematic review of main features and effects. BMC Cardiovascular Disorders, 22(1), 292.
Torknejad, A., Babaei, S., & Mirmohammadsadeghi, M. (2020). Effect of an educational intervention based on BASNEF model on treatment adherence after coronary artery bypass surgery: A randomized clinical trial. ARYA atherosclerosis, 16(3), 105.
Vervoort, D. (2019). Global cardiac surgery: a wake-up call. European Journal of Cardio-Thoracic Surgery, 55(5), 1022-1023.
Vitomskyi, V., Al-Hawamdeh, K., Vitomska, M., Lazarіeva, O., & Haidai, O. (2021). The effect of incentive spirometry on pulmonary function recovery and satisfaction with physical therapy of cardiac surgery patients. Advances in Rehabilitation, 35(1), 9-16. | ||||
|
Statistics Article View: 128 PDF Download: 63 |
||||
